Internal jugular vein thrombosis with OHSS

Lee, Seung Hyun; Park, Jung‐Woo; Han, Myoungseok; Bae, Jong Woon; Cho, Yeon Jean

doi:10.1002/jcu.22423

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…The main causes of jugular vein thrombosis are prolonged central venous catheterization, intravenous drug use [ 1 , 2 ], ovarian hyperstimulation syndrome [ 3 ], infection due to continuous spread and malignancy [ 4 , 5 ]. Traumatic jugular vein thrombosis is an uncommon vascular event [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Internal jugular vein thrombosis is a rare vascular event that can be defined as the formation of a thrombus located intraluminally in the internal jugular vein. The most common etiologies include prolonged central venous catheterization, intravenous drug use [ 1 , 2 ], ovarian hyperstimulation syndrome [ 3 ], infection and malignancy [ 4 , 5 ]. This affection may result in serious complications such as pulmonary embolism and post-thrombotic syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Internal jugular vein thrombosis by sewing needle ingestion

Bendiouri

Chennoufi

Lachkar

et al. 2021

International Journal of Surgery Case Reports

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Introduction The internal jugular vein thrombosis is usually due to intravenous drug abuse, prolonged central venous catheterization or deep head-neck infections or trauma. Related malignancies, or inflammatory etiologies are described. Our case is interesting by the ingestion of a sewing needle that passes from the pharynx to the internal jugular vein via migration, leading to life-threatening complications: deep neck space infection and internal jugular vein thrombosis. Case report We report a case of a 40 years old patient, for acute cervical cellulitis in a context of odynophagia and fever, a CT scan revealed a jugular vein thrombosis, penetrated by a metal density foreign body. The diagnosis of ingested foreign body complicated by cervical cellulitis and thrombosis of the internal jugular vein was made. The patient underwent neck surgery with intravenous antibiotics. The postoperative course was uneventful, after one year of follow-up, no complications have been observed. Discussion no consensus has been reached concerning the management of postoperative and post traumatic vein thrombosis. Taking into account the risk of extension of the thrombus and the hemorrhagic risk each case should involve discussions among a multidisciplinary team. Conclusion The internal jugular vein thrombosis is a rare complication of ingested foreign bodies which may lead to life threat. The early diagnosis and adequate treatment of its life-threatening complications may result in excellent prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Internal jugular vein thrombosis by sewing needle ingestion

Bendiouri

Chennoufi

Lachkar

et al. 2021

International Journal of Surgery Case Reports

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Section: Infertility Treatmentmentioning

confidence: 99%

“…53 Thromboembolism is considered the most severe complication related to OHSS, and unusual site thrombosis involving the veins of the upper extremities and the internal jugular or cerebral veins has been reported. 54 55 56 In women with severe OHSS, a VTE incidence of 1 to 4% has been reported. Therefore, guidelines recommended thromboprophylaxis with LMWH for up to 3 months after the resolution of OHSS.…”

Section: Infertility Treatmentmentioning

confidence: 99%

Venous Thromboembolism Issues in Women

Linnemann

Rott

Zotz³

et al. 2022

Hamostaseologie

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The lifetime risk of venous thromboembolism (VTE) is slightly higher in women than in men. There are several issues related to VTE that are unique to women. Combined hormonal contraceptives and pregnancy increase the risk of VTE in women of childbearing age, whereas hormone replacement therapy increases the VTE risk of postmenopausal women. Hereditary thrombophilia and risk factors such as older age, obesity, or smoking contribute to the risk increase. In women diagnosed with acute hormone-related VTE who are treated with oral anticoagulants, adequate contraception is mandatory to avoid unwanted pregnancies. According to current knowledge, hormonal contraception may be continued during anticoagulant therapy but must be switched to an estrogen-free contraception method at least 6 weeks before the termination of anticoagulation. VTE is also a major cause of maternal morbidity and mortality during pregnancy and the postpartum period. Currently, assisted reproduction technologies such as in vitro fertilization are widely used to treat couples affected by infertility. Complications of fertility treatment comprise VTE cases, especially in women with ovarian hyperstimulation syndrome. With this review, we intended to focus on VTE issues in women and summarize current evidence and guideline recommendations.

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“…Moreover, if hypercoagulability develops further, thrombosis may occur, which is the most serious and life-threatening complication of IVF. Thromboembolic disease has been reported in many sites of patients with OHSS, including in the internal jugular, subclavian, axillary, ulnar, popliteal, cortical, mesenteric, coronary, and cerebral vessels (7)(8)(9). To prevent the occurrence of thrombosis, it is crucial to accurately assess the hypercoagulability in patients with OHSS.…”

Section: Introductionmentioning

confidence: 99%

Coagulation and Fibrinolysis Biomarkers as Potential Indicators for the Diagnosis and Classification of Ovarian Hyperstimulation Syndrome

Qian

Pei

et al. 2021

Front. Med.

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Background: Accurate diagnosis and classification of ovarian hyperstimulation syndrome (OHSS) is important for its management. We employed a new high-sensitivity chemiluminescence immunoassay to detect the thrombin-antithrombin complex (TAT), plasmin alpha2-plasmin inhibitor complex (PIC), soluble thrombomodulin (sTM), and tissue plasminogen activator-inhibitor complex (TPAI-C), and evaluated their diagnostic and classification performance for OHSS.Methods: A total of 106 women were enrolled, including 51 patients with OHSS (25 mild or moderate OHSS, 26 severe OHSS), and 55 without OHSS (control group). TAT, PIC, sTM, and TPAI-C levels were measured using the Sysmex HISCL5000 automated analyzer.Results: Compared to the control group, TAT, PIC, and TPAI-C levels were significantly higher (P < 0.001, P < 0.001, P < 0.001, respectively), whereas the sTM level was significantly lower (P < 0.001) in the patients with OHSS. The receiver operating characteristic was used to evaluate the diagnostic efficiency. For the diagnosis of OHSS, the area under the curves (AUCs) for TAT, PIC, sTM, and TPAI-C were 0.991, 0.973, 0.809, and 0.722, respectively. In particular, the sensitivity, specificity, positive predictive value, and negative predictive value for TAT and PIC were all above 90%. For the differential diagnosis of mild–moderate and severe OHSS, the AUCs for TAT, PIC, and TPAI-C were 0.736, 0.735, and 0.818, respectively. The cutoff values of TAT, PIC, and TPAI-C for the differential diagnosis of mild–moderate and severe OHSS were 11.5 ng/mL, 2.4 μg/mL, and 5.8 ng/mL, respectively. Based on these cutoff values, eight cases of mild–moderate OHSS exceeded the cutoff values, two of which developed to severe OHSS in the following days. However, of the remaining 17 cases of mild–moderate OHSS patients with negative biomarkers, none subsequently developed severe OHSS.Conclusions: TAT, PIC, sTM, and TPAI-C can be used as sensitive biomarkers in the diagnosis of OHSS. Meanwhile, TAT, PIC, and TPAI-C also displayed remarkable potential in the classification of OHSS. In addition, the levels of TAT, PIC, and TPAI-C above the cutoff values in patients with mild–moderate OHSS might predict a high risk of developing severe OHSS.

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Internal jugular vein thrombosis with OHSS

Cited by 6 publications

References 8 publications

Internal jugular vein thrombosis by sewing needle ingestion

Internal jugular vein thrombosis by sewing needle ingestion

Venous Thromboembolism Issues in Women

Coagulation and Fibrinolysis Biomarkers as Potential Indicators for the Diagnosis and Classification of Ovarian Hyperstimulation Syndrome

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